Displaying 177451-177460 of 1611142 results.
ID:
177451
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177452
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177453
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177454
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177455
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177456
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177457
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177458
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177459
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
177460
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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